Tixagevimab and Cilgavimab Injection

Wisconsin rates for HCPCS M0220

Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known SARS-CoV-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available COVID-19 vaccine is not recommended due to a history of severe adverse reaction to a COVID-19 vaccine(s) and/or COVID-19 vaccine component(s), includes injection and post administration monitoring

Rates data updated October 2026.

How much rates vary

Facilitymedian $155 · 10th to 90th $151 to $407Professionalmedian $186 · 10th to 90th $151 to $302

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Cigna Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $407.38	Facility	None	$151.36	$154.88	$407.38
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $302.00	Professional	None	$151.36	$151.36	$302.00
Quartz Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $398.11	Professional	None	$302.00	$302.00	$398.11